Cancer Pain Treatment In Gurgaon

Tag: Cancer Pain Treatment In gurgaon, Pain Clinic in Gurgaon, Pain Specialist in Gurgaon, Pain Management in Gurgaon Pain in cancer may arise due to many reasons and is often the presenting complaint leading to the diagnosis of cancer. It may bernRelated to cancer itself or its spread to other body partsrnA late presentation due to side effect of treatments such as chemotherapy, radiotherapy, and surgeryrnA result of extra stress placed on other body parts for example shoulder pain due to using of a stick for walkingrnA totally unrelated coincidental problem such as arthritisrnCancer Pain Treatment In Delhi, Cancer Pain Management In Delhi, GurgaonrnPain can be differentiated into background pain (which is always present in the background and is managed with regular medications) and breakthrough pain (pain which breaks through your regular pain relief). Breakthrough pain may occur unprovoked or may be triggered by external or internal factors. In cancer patients, different types of pain may coexist. It is not just limited to pain arising from inflammation and tissue damage for example cancer of pancreas spreading to neighboring organs and nerves leading to visceral and neuropathic pain respectively and a distant spread to bones producing bone pain. Different types of pain present differently for examplernNeuropathic/ Nerve painrn is generally described as burning, shooting, electric shock-like or stabbing pain with associated tingling or numbness. It may be a consequence of cancer itself or a result of treatments such as chemotherapy (chemotherapy-induced peripheral neuropathy- CIPN).rnVisceral Painrn originates from viscera (organs in the body cavity) and is generally described as deep aching, squeezing and cramping sensationrnBone painrn presents as an aching, throbbing sensation. Some cancers have a preference to spread to bonesrnPain ManagementrnPain relief needs to be tailored to the cause, severity, and duration of pain. In most cases, reasonable control can be achieved by using a combination of methods. Multimodal, Multidisciplinary approach provides the opportunity to maximize pain relief and provide support not only for the physical needs but also for the emotional, spiritual and social needs. rnSome of the management options available via a pain clinic arernMedications managementrnThis involves using different classes of medications to optimize pain control. Using a combination of drugs helps to minimize side effects and maximize the benefits. Whilst considering the drug therapy many factors need to be considered like the type of pain, cause and severity of pain, other medical problems and medications being used, medications tried previously, pre-existing nausea/vomiting, constipation, ability to take and absorb medications, liver and kidney function, etc. Apart from the standard medications mentioned in other sections some other medications are used more often in cancer pain such as steroids, bisphosphonates (for bone pain).rnNerve blocks, Radiofrequency & Neurolytic proceduresrnNerves are commonly targeted in pain-relieving interventions, for example, pudendal nerve for perineal or rectal pain, suprascapular nerve for shoulder pain, intercostal nerves for chest wall pain, etc. The pain impulses being transmitted via the nerves can be temporarily blocked using local anesthetics. The transmission of impulses can be reduced for longer duration using Neurolytic procedures, which involve the injection of alcohol or phenol instead of local anesthetic. Examples of neurolytic procedures includernCoeliac plexus, splanchnic nerves neurolysisrnHypogastric plexus neurolysisrnLumbar sympathetic neurolysisrnRadiofrequency procedures e.g.rnsuprascapular nerve pulsed radiofrequency for shoulder pain involves exposure to high-frequency electrical current in the RF range (≈ 500 kHz). This exposure can be continuously generating high temperatures or pulsed where the temperature is kept below 42 °C. Pulsed RF can be used to target most nerves including those with motor components. The resulting neural modification effect’s the transmission of pain impulses producing pain relief.rnSpinal procedures e.g. epidural, intrathecal pumpsrnCertain procedures such as pumps to deliver medicines directly in the spine (intrathecal pumps) are performed more often for cancer pain.rnDrug infusionsrnPsychologyrnCancer is often accompanied by anxiety, depression, and fear of the worst. A psychologist can help in analyzing these thoughts rationally and developing a positive approach. They can help by teaching relaxation techniques, coping strategies and by reducing the effect of mood on pain.rnPhysiotherapyrnComplementary and alternative therapies including Acupuncture, TENS, meditation, Ayurveda and wellness. For more information on how these can be helpful please follow the respective links